Evidence map›Paper›PMID 34581773›Full record

GuidelineBlood advances2021

American Society of Hematology 2021 guidelines for sickle cell disease: stem cell transplantation.

Julie Kanter, Robert I Liem, Françoise Bernaudin, Javier Bolaños-Meade, Courtney D Fitzhugh, Jane S Hankins, M Hassan Murad, Julie A Panepinto, Damiano Rondelli, Shalini Shenoy and 5 more

Open access · goldAbstract readPractice Guideline
In one paragraph

Guideline in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 3 pooled it
9.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 3 syntheses or guidelines pooled it, 111 citations in OpenAlex.

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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 13 institutions in 3 countries.

Julie KanterDepartment of Hematology-Oncology, University of Alabama Birmingham, Birmingham, AL.ORCID 0000-0001-7002-8891
Robert I LiemDivision of Hematology, Oncology and Stem Cell Transplant, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.
Françoise BernaudinFrench Referral Center for Sickle Cell Disease, Centre Hospitalier Intercommunal Créteil, Université Paris XII, Paris, France.
Javier Bolaños-MeadeDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD.
Courtney D FitzhughCellular and Molecular Therapeutics Branch, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0002-5306-7167
Jane S HankinsDepartment of Hematology, St Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0003-4439-7321
M Hassan MuradDivision of Preventive Medicine, Mayo Clinic, Rochester, MN.
Julie A PanepintoMedical College of Wisconsin/Children's Wisconsin, Pediatric Hematology, Milwaukee, WI.
Damiano RondelliDivision of Hematology-Oncology, University of Illinois at Chicago, Chicago, IL.
Shalini ShenoySt Louis Children's Hospital, Washington University School of Medicine, St Louis, MO.
John WagnerDivision of Blood and Marrow Transplantation, Department of Pediatrics, University of Minnesota, Minneapolis, MN.
Mark C WaltersBenioff Children's Hospital, University of California San Francisco, Oakland, CA.
Teonna WoolfordSickle Cell Reproductive Health Education Directive, Owings Mills, MD.
Joerg J MeerpohlInstitute for Evidence in Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany; and.ORCID 0000-0002-1333-5403
John TisdaleCellular and Molecular Therapeutics Branch, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0002-8535-9439
National Institutes of Health · USChildren's Hospital of Wisconsin · USJohns Hopkins University · USLurie Children's Hospital · USMayo Clinic · USSt. Jude Children's Research Hospital · USSt. Louis Children's Hospital · USUniversité Paris-Est Créteil · FRUniversity of Alabama at Birmingham · USUniversity of California, San Francisco · USUniversity of Freiburg · DEUniversity of Illinois Chicago · USUniversity of Minnesota · US

Funding

Trial Design and Biostatistical Support CoreP01CA065493 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI J SUNIL RAO · 1995 to 2026
$48.2M
NCI NIH HHS P01 CA065493
6 · The paper itself

Abstract

backgroundSickle cell disease (SCD) is a life-limiting inherited hemoglobinopathy that results in significant complications and affects quality of life. Hematopoietic stem cell transplantation (HSCT) is currently the only curative intervention for SCD; however, guidelines are needed to inform how to apply HSCT in clinical practice.

objectiveThese evidence-based guidelines of the American Society of Hematology (ASH) are intended to support patients, clinicians, and health professionals in their decisions about HSCT for SCD.

methodsThe multidisciplinary guideline panel formed by ASH included 2 patient representatives and was balanced to minimize potential bias from conflicts of interest. The Mayo Evidence-Based Practice Research Program supported the guideline development process, including performing systematic evidence reviews (through 2019). The panel prioritized clinical questions and outcomes according to their importance for clinicians and patients. The panel used the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach, including GRADE Evidence-to-Decision frameworks, to assess evidence and make recommendations, which were subject to public comment.

resultsThe panel agreed on 8 recommendations to help patients and providers assess how individuals with SCD should consider the timing and type of HSCT.

conclusionsThe evidence review yielded no randomized controlled clinical trials for HSCT in SCD; therefore, all recommendations are based on very low certainty in the evidence. Key recommendations include considering HSCT for those with neurologic injury or recurrent acute chest syndrome at an early age and to improve nonmyeloablative regimens. Future research should include the development of a robust SCD registry to serve as a comparator for HSCT studies.

Indexed as

Anemia, Sickle CellHematologyHematopoietic Stem Cell TransplantationHumansQuality of LifeStem Cell TransplantationUnited States

Identifiers

PMID34581773
PMCPMC8945587
OpenAlexW3204655744

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.